中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2013年
9期
756-760
,共5页
叶真%胡如英%沈玉华%何青芳%曹纳新%潘劲%陆凤
葉真%鬍如英%瀋玉華%何青芳%曹納新%潘勁%陸鳳
협진%호여영%침옥화%하청방%조납신%반경%륙봉
静坐%代谢综合征%高血压%糖尿病,2型%血脂异常
靜坐%代謝綜閤徵%高血壓%糖尿病,2型%血脂異常
정좌%대사종합정%고혈압%당뇨병,2형%혈지이상
Sedentary behaviors%Metabolic syndrome%Hypertension%Diabetes mellitus,type 2%Dyslipidemia
目的 探讨静坐行为和时间对代谢综合征(MS)及相关疾病的影响.方法 采用整群随机抽样方法,对浙江省嘉善县10 149名40岁以上常住居民进行体力活动、工作及休闲时静坐情况和睡眠等问卷调查及身高、体重、腰围、血压、血糖及血脂等指标的检测,进行多元logistic回归相关性分析.结果 嘉善县40岁及以上居民MS患病率为28.64％;完全静坐行为的比例为67.57％,每天静坐时间的中位数为3h,完全静坐行为与静坐时间在MS组和无MS组间存在统计学差异(P＜0.01).多元logistic回归显示完全静坐行为与MS的患病风险之间存在独立的关联(OR=1.16,95％ CI 1.03 ～ 1.30,P=0.017),并增加患高血压、2型糖尿病、血脂异常的风险(P＜0.05或P＜0.01)；与＜3 h/d比较,静坐时间≥5 h/d能独立地增加MS的患病风险(OR=1.15,95％ CI1.01～1.31,P=0.034).结论 40岁以上人群中具有较高的MS患病率,静坐行为及静坐时间对MS及相关疾病患病风险有显著相关性.
目的 探討靜坐行為和時間對代謝綜閤徵(MS)及相關疾病的影響.方法 採用整群隨機抽樣方法,對浙江省嘉善縣10 149名40歲以上常住居民進行體力活動、工作及休閒時靜坐情況和睡眠等問捲調查及身高、體重、腰圍、血壓、血糖及血脂等指標的檢測,進行多元logistic迴歸相關性分析.結果 嘉善縣40歲及以上居民MS患病率為28.64％;完全靜坐行為的比例為67.57％,每天靜坐時間的中位數為3h,完全靜坐行為與靜坐時間在MS組和無MS組間存在統計學差異(P＜0.01).多元logistic迴歸顯示完全靜坐行為與MS的患病風險之間存在獨立的關聯(OR=1.16,95％ CI 1.03 ～ 1.30,P=0.017),併增加患高血壓、2型糖尿病、血脂異常的風險(P＜0.05或P＜0.01)；與＜3 h/d比較,靜坐時間≥5 h/d能獨立地增加MS的患病風險(OR=1.15,95％ CI1.01～1.31,P=0.034).結論 40歲以上人群中具有較高的MS患病率,靜坐行為及靜坐時間對MS及相關疾病患病風險有顯著相關性.
목적 탐토정좌행위화시간대대사종합정(MS)급상관질병적영향.방법 채용정군수궤추양방법,대절강성가선현10 149명40세이상상주거민진행체력활동、공작급휴한시정좌정황화수면등문권조사급신고、체중、요위、혈압、혈당급혈지등지표적검측,진행다원logistic회귀상관성분석.결과 가선현40세급이상거민MS환병솔위28.64％;완전정좌행위적비례위67.57％,매천정좌시간적중위수위3h,완전정좌행위여정좌시간재MS조화무MS조간존재통계학차이(P＜0.01).다원logistic회귀현시완전정좌행위여MS적환병풍험지간존재독립적관련(OR=1.16,95％ CI 1.03 ～ 1.30,P=0.017),병증가환고혈압、2형당뇨병、혈지이상적풍험(P＜0.05혹P＜0.01)；여＜3 h/d비교,정좌시간≥5 h/d능독입지증가MS적환병풍험(OR=1.15,95％ CI1.01～1.31,P=0.034).결론 40세이상인군중구유교고적MS환병솔,정좌행위급정좌시간대MS급상관질병환병풍험유현저상관성.
Objective To explore the association of sedentary behavior and time with risk of metabolic syndrome (MS).Methods A total of 10 149 subjects were recruited from local residents aged ≥40 years old in Jiashan County by cluster-random sampling method.The data including physical activity,job,sedentary time,and sleep,etc.were collected.Height and body weight,waist circumference,blood pressure,blood glucose,blood lipid,etc.were determined.Logistic regression was used for correlation analysis.Results The prevalence of MS was 28.64％ in local residents over 40 years old in Jiashan.The rate of sedentary behavior in all subjects was 67.57％,with 3 h sedentary time on average.Compared with non-MS group,the rates of sedentary behavior and sedentary time were significantly higher in MS group (P＜0.01).Multivariate logistic regression analysis showed that sedentary behavior was independently associated with an increased risk of MS after adjustment for age,sex,body mass index (BMI),smoking,drinking,and sedentary time(OR=1.16,95％ CI 1.03-1.30,P=0.017).Increased sedentary time was associated with higher risks of hypertension,type 2 diabetes mellitus,and dyslipidemia (P ＜ 0.05 or P ＜ 0.01).Sedentary time ≥ 5 h/d independently increased the risk of MS (OR =1.15,95％ CI 1.01-1.31,P =0.034).Conclusions There is a high prevalence of MS in adults over 40 years old living in the eastern coastal rural area.MS and its related diseases are closely associated with sedentary behavior and its duration.
